Individual provider Active NPI

Alexa Bodman, MD

  • Neurological Surgery Physician
  • Austin, TX
National Provider Identifier
1861783144
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
S1983 Issued in TX
Practice address
3000 N Ih 35 Ste 600
Austin, TX 78705-1850
Phone
(512) 306-1323
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X S1983 TX Primary

Addresses

Primary practice location

3000 N Ih 35 Ste 600
Austin, TX 78705-1850

Mailing address

3000 N Ih 35 Ste 600
Austin, TX 78705-1850
Phone (512) 306-1323

Other practice location 1

550 Peachtree St NE Fl 8
Atlanta, GA 30308
Phone (404) 686-8101

Other practice location 2

3000 N Ih 35 Ste 600
Austin, TX 78705-1850
Phone (512) 306-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003705 TX Practitioner - Neurosurgery 1850656323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
State University of Ny Upstate Medical University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. David'S Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

3000 N Ih
35 Suite 600
Austin, TX 78705-1850
Phone (512) 236-1310

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion26
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S1983TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Ortho, Neuro and Rehab, PLLC Single Specialty CurrentSince Sep 16, 2019 Accepting new patients
St. David'S Specialized Women'S Services, PLLC Single Specialty PastSince Sep 16, 2019 Accepting new patients
Neurotexas, PLLC Single Specialty Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1221 W Ben White Blvd
Ste 250B
Austin, TX 78704

3000 Ih 35 N
Ste 600
Austin, TX 78681
Phone (512) 479-6655

3201 S Austin Ave
Ste 205
Georgetown, TX 78626
Phone (512) 763-4060

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

Interoperability endpoints

  • Direct secure messaging: alexa.bodman@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 318-bodman-alexa@direct.leadingreach.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1861783144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051850",
            "telephone_number": "512-306-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35 STE 600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051850",
            "telephone_number": "512-306-1323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Peachtree St NE Fl 8",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30308",
            "country_code": "US",
            "telephone_number": "404-686-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Ih 35 Ste 600",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051850",
            "country_code": "US",
            "telephone_number": "512-306-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODMAN",
        "first_name": "ALEXA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "S1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.